“Why Don’t You Get on with Your Life?”

“Why don’t you get on with your life?”That was the question raised to a friend whose wife is in a memory care facility.

For six years, he has visited her daily between 1:00 and 3:00 p.m. Since the disease has taken her language, he mostly sits silently beside her, gently holding her hand. She responds with an occasional smile or a momentary twinkle in her eyes.

The casual observer assumes that she no longer knows her husband, rendering his visits meaningless. As I often hear from medical staff, family members, and friends, “They aren’t there anymore. She/he is already gone.”

If they are already gone, why continue to invest time and energy in relating to them?  Or as one daughter said about not visiting her mother, “She’s not the mother I’ve known. I want to remember her as she was.”

A pastor remarked, “They don’t recognize me when I visit or remember that I’ve been there. I have so many other things to do. They aren’t really there, so what purpose does a visit serve?”

Pat Robertson suggested in response to a caller on his television program that a husband can justifiably divorce his wife with dementia. His reasoning:  “. . . I hate Alzheimer’s. It is one of the most awful things because here is a loved one—this is the woman or man that you have loved for 20, 30, 40 years. And suddenly that person is gone. They’re gone. They are gone.“

Since the person with Alzheimer’s is “gone,” it seems permissible that “you get on with your life!”

The advice may be well intended.  Neurocognitive diseases do change people, stripping from them capacities to remember, communicate, and reason.  Personality changes are real and often dramatic. Difficult behaviors emerge.  Reciprocity vanishes or diminishes. Dependency escalates with ever-weighty demands on spouses and family.

Caregiving can be all consuming, with devastating physical and emotional consequences for the spouse.  Relentless grieving and pervasive sadness take their toll. Therefore, there is some value in suggesting that “you get on with your life.”

The advice, however, is based on a devastating myth:  Identity and worth lie in our capacity to think clearly, remember rightly, communicate plainly, and behave appropriately. It is the popular acceptance of Descartes’ dictum, “I think, therefore, I am.”

My friend responded succinctly and firmly to the suggestion that he get a life. He said simply, “This is my life!” He added that he enjoys spending time with his wife. Love is central to who he is. She may not always cognitively know him, but he knows who she has been and who she IS; and he loves her for all she has been AND for all she is! Love gives life, joy, connection to both!

Those of us who refuse to live by the myth know something very important: THEY ARE STILL THERE!  We are more than our thoughts or capacities or behaviors. We are distinct, beloved children of God, whose worth and identity are held permanently by God!

Those who take the time and energy to be attentive, to get inside the world of loved ones, to listen to the feelings behind the incoherent language, to really BE PRESENT know the person is still there!

Sometimes we see it in a faint twinkle in the eyes, or a characteristic gesture, or a fleeting smile, or a slight squeeze of the hand. When it happens, there emerges a profound joy which may last only a moment.  But the joy is real for both, and the residual effects endure longer than can be measured.

On the rare days when my friend does not arrive at the memory care facility at 1:00, his wife can be seen standing at the window looking out toward the parking lot. Mysteriously and inexplicably, she knows it’s time for her husband to come. She is STILL THERE! And he knows it!

Saved by Story

I had settled in for the evening after a long day. The phone rang as I was about to drift off to sleep. “Is this Reverend Carder, the preacher who is quoted in the newspaper as being against the death penalty?” the irate woman asked. I had gone on public record in opposition to executions in the Tennessee.

“Yes, I am opposed to capital punishment,” I calmly replied. What followed kept me awake most of the night and taught me a lesson that is being relearned in my relationships with people affected by dementia.

“Tell me why you are against it,” demanded the caller. I began to explain that the death penalty is not a deterrent. Before I could make my point, she interrupted, “It would deter that one murderer!”

Next, I stated that the death penalty runs counter to my religious faith. Again, she would have none of my argument. “The Bible says, ‘an eye for an eye’,” she retorted. I countered with quotes from the Sermon on the Mount: “Turn the other cheek. . . Love your enemies.” The debate was on!

Our verbal clash went back and forth with ever-escalating emotional intensity. Then, she blurted out something that abruptly ended the arguing!

“If your daughter had been murdered, you’d think different,” she yelled while sobbing uncontrollably.

I had totally missed her! I had seen her as an opponent, one with whom I disagreed. I missed her as a person, a grieving mother of a murdered child. I was bent on winning an argument. I should have been listening to her story, especially her pain.

“Oh my goodness, I’m sorry,” I said with embarrassment. I shared that as the father of two daughters I couldn’t even imagine the pain of one being murdered. I apologized for my insensitivity by arguing with her. For another hour I listened to a heart-wrenching story of horrific loss and harrowing grief.

She ceased being an opponent and became a person with a story I needed to hear. We both moved from an abstract argument to sharing stories behind our ethical/theological perspectives.

We like to think that our ideas, doctrines, affirmations, and understandings are derived purely through rational thinking. We assume that our truth is totally objective, universally applicable, and detached from our personal stories.  But behind every theological, ethical, and political proposition is a story; and we never fully understand another’s perspective until we hear his/her story.

The caller’s position on the death penalty couldn’t be separated from her experience of having a child murdered. My opposing position is inseparable from having a friend awaiting execution and earlier having sat with a mother whose son was executed in another state. The mother whose son was executed loved him no less than the grieving mother of the murdered daughter. Both had children who were intentionally killed, one by a boyfriend and the other by the state.

Our church and society are awash in arguments—political, theological, ideological. Placing opponents within the margins of our dismissive categories prevails over seeing them as persons with stories. And, we would rather lead with our arguments than with our vulnerabilities and hurts. Consequently, we compound the polarization, deepen misunderstanding, and intensify suffering.

We organize into groups of those who fit within our margins of preferred categories—“progressive,” “evangelical,” “liberal,” “conservative.” It’s easier to control the margins than to listen to the stories of others, especially the painful ones. But we can be sure that no one fits neatly into any of the categories, if we know their stories.

In reality, truth can never be severed from story. Arguments over abstract propositions are more about winning and losing than about understanding and growing. Positive change emerges from shared stories of pain and struggle more than from quarrels and contentious debates.

God didn’t redeem the world with an argument. God saves the world by entering our stories with The Story of a Love that shifts the margins outside our prescribed categories.

 

 

 

 

 

 

Cognition can be an Idol

Living with and ministering among people with dementia is shifting my priorities and way of viewing the Christian faith. I am being confronted with my own idolatry.  I think I may have made an idol of cognition, thinking straight, and being intellectually competent.

Knowledge has always been a priority for me! Education became important very early. I’m not sure why. My parents only went through the sixth and eighth grades. The only book we had in our home was the Bible. But somehow “knowing” became important to me.  I suspect it was partly compensation for feelings of inferiority born of economic poverty.

I never considered myself to be smart and those intimidating standardized tests varied that I’m not “intellectually gifted.” But I worked hard, made good grades, and got lots of affirmation from teachers and others. Being intellectually proficient has been and continues to be highly valued. I genuinely want to love God with my mind.

I’ve spent a lifetime clarifying my beliefs and  helping others make intellectual sense of Christian doctrines. I’ve written books and articles on the importance of right beliefs. I have taught and preached those doctrines as a pastor and seminary professor. Beliefs and intellect do matter!

But the margins of my thinking are shifting! When Linda was diagnosed with Frontotemperal Dementia (FTD) in 2009, I was deeply immersed in the hyper-intellectual environment of Duke Divinity School. I spent my days teaching and writing. I graded students on their intellectual comprehension and integration and their oral and written communication skills. I was in intellectual heaven!

What a contrast to my current context! Now I am immersed in a different world.  While continuing to teach part time in seminary and the church, my daily life is among people whose intellectual comprehension and communication abilities are being stripped away by disease. Abstract thinking has ceased. Reading is nonexistent. Memories have vanished and only the present is real.  Most words have been deleted from their lexicon and verbal expressions are garbled and disconnected at best.

Many of those with whom I relate no longer know their families and some have forgotten their own names. Several don’t recognize themselves in the mirror. None of my congregation at Bethany can claim to know or explain such orthodox theological affirmations as the Trinity, Incarnation, Justification, Salvation, Atonement, authority of Scripture, etc. Many have forgotten who God is!

Yet, I have never been among people who seem closer to God and more faithful in their discipleship than those who live at Bethany, the memory care facility where my beloved Linda now resides.  I remind them regularly that they are in the home of Mary and Martha where Jesus felt most at home. I suspect Jesus feels more at home at this Bethany than in many churches.

Dementia shifts the margins of orthodoxy from the intellect to the heart, from knowing to being. Neuro-cognitive impairment provides a different lens through which to view such core doctrines as Creation, Incarnation, Imago Dei, Salvation, Discipleship, Vocation, etc.

What does it mean to know God? What does it mean to “accept Jesus as your Lord and Savior” when the person doesn’t know who Jesus is? Can people who are unable to comprehend and/or recite the orthodox creeds be disciples, full members of the church?  Do people with dementia have a calling, a vocation?

Where do people with dementia fit into the mission statement of The United Methodist Church: “make disciples of Jesus Christ for the transformation of the world”?  What is “right” and “wrong” behavior when the ability to make decisions has been lost? What would the local church look like if people with dementia really belonged?

These are among the questions I am raising as my understanding is shifting outside the margins of the abstract thinking. The people at Bethany know God, Jesus, and Church in ways that transcend cognition.

We have made cognition an idol if we assume that salvation is the product of our thinking. Some theologians have identified reason as “the image of God”, buying into Rene Descartes’ dictum “I think therefore I am.” That’s idolatry! That’s just plain wrong! The notion contributes to the dehumanizing and marginalizing of people with cognitive diseases.

At Bethany, the issues that occupy the contemporary church have little, if any, relevance. Arguments over who is orthodox and who isn’t, the definition of marriage, and which religion is right aren’t on their experiential radar. Those are abstractions, outside the margins of their existence!

What’s real are Love, Belonging, Dignity, Safety, Peace, Connection, and Presence that transcend the margins of intellect and language. The cognitively impaired know God, though they may no longer know about God!

The cognitively impaired are now my primary teachers! They are teaching me things I’ve not learned in books or from the intellectually astute. If we will enter their world, they just might save the church from its idolatrous notion that we are saved by our intellectually constructed doctrines and abstractions! We really are saved by GRACE!